HomeMy WebLinkAbout0423 i
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TO TIIE C(.ERK OF T}i E C1RCUIT COUItT.
ST. LUC 1 E ~ourrr~r, ~,oe~n~:
• Thts ta mr declanteoo ot Domicile sr~d Citizenship in tbe Sute ot Fbrida that I am Wias t6a day in ~eoord~nce. and in
eortformity virith Section °~.~{.17. }b~ida StaWtes.
~ I~ras torme~l s k 1 resident ot ~~.r.. A~~ -,"`~u~ 7d ~C and I
. t(~r~ Isua~
midcd at ~ .~Q~ ,~~1 Yl~i - flo~re~~er. I 6ave changed mr doa?iei)c t,o
(Strest ud N~mAar1
. and a~n ~nd have bcen a bona fide resident ot the State ot Fio~ida_sinee ~d ~ 7~ day °t
19 - ~nd I reside at .,~ZL~rL.i~ -
. lSe+~et..d t~dmeer)
ST . l.l1G 1 E ~iy. ~t;,a,,
aod this statcmeat is to bc taken u my dedaratiou ot dtizeaship. aetual kgal trsideace and domidk in tEe State of florida.
_ If POR THC PURPOSE Of ENROLLING ~F FOR HONEST[AD PURPOSES~
CHILDREN IN SCHOOL~ PLEASE STAT[ PIEASE LlIECKS ~
~ THEtR NAHES:
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• FUIiTNER CERTiFY that I will segister at my local address wben the nxisiratian books reopen, and compl~ with aU
othes rcquiremcnts ot a k~al rcsedent of ihis Siale.
I F T1IE:t CE I th t I hav~ t~o int~ntion to rcWrn lo my tornur domidtc, and 1 iatcad lo rcrosin in
~~e~ ~ jJ(±~~ _ ST LUCIE _ __County,
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Florida, pcrmancnti~ . ~ .
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(AJddxers)
Sworn to and ~ubscribcvi hcforc mc thi~ ~ d~y of L~~ V~
- _ ~.o. ~s 7'S~
~ ROGFR POI TRAS,, Cl_ERK OF G IRCUIT COl1~ZT
• ST. Ll1C { C GOUNTY, f LOfi 1 UA , F1LLb t.N~ c~~,~pED
, ST, LUCtL L~UNTY F~A.
=F ~0'TP,AS
BY: Ct~~•`• ~:.~GUIT COURT.
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